Individual
MS. WANDA M MUSIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP/CDE
Contact information
Practice address
219 BRYANT ST, BUFFALO, NY 14222-2006
(716) 878-7588
(716) 888-3827
Mailing address
1400 SWEET HOME RD., SUITE 5, AMHERST, NY 14228-2777
(716) 932-6064
(716) 932-6076
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
382004
NY
363LP0200X
Pediatric Nurse Practitioner
F382004
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03090773
—
NY
Enumeration date
10/09/2008
Last updated
02/27/2012
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